Primary Care of The Family Exam 1 Questions & Answers (Grade A+).docx

Primary Care of The Family Exam 1
Questions & Answers (Grade A+)
CMS stands for -
correct answer ✅Center for Medicare and Medicaid Services


In order to become a Medicare provider, the Nurse practitioner
must fill out which form? -
correct answer ✅The PECOS/CMS 855


CMS policy payment is based on -
correct answer ✅yearly scheduling


CMS usually pays _______% of the cost of healthcare while the
patient is normally responsible for ______%. -
correct answer ✅1) 80%
2) 20%


NPs are reimbursed at what % of physician reimbursement under
Medicare part B? -
correct answer ✅85%


Co-Pays/Deductibles should be collected at ___________ of
calendar year? -
correct answer ✅beginning

, Primary Care of The Family Exam 1
Questions & Answers (Grade A+)

Opting out providers can set charge rate to _____% of Medicare
rate but can only collect _____% of the Medicare fee. -
correct answer ✅1) 115%
2) 95%


For opting out providers, the patient is responsible for ______% of
the cost, while Medicare pays for _______% of the cost. -
correct answer ✅1) 20%
2) 75%
this where they get the 95% number from


opting out physicians must keep __________________ amount of
money to cover any malpractice claims that may arise. -
correct answer ✅$250,000


Medicaid is jointly funded by -
correct answer ✅federal and state governments


Providers must accept the Medicaid payments as payment in full
with 2 exceptions -
correct answer ✅1) Disproportionate share hospital payments